HomeMy WebLinkAbout1992-004279 - plumbing �F 1`U[IT
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CITY OF ORONO PERMIT TYPE: i
1335 Brown Rd. South • P.O �3c:�x �6 Permit Number: �i�f���'���
Crystal Bay, Minnesota 55323 Date Issued: i}�������'��
(612) 473-7357
SITE ADDRESS:
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FEE SUMMARY:
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APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO �� � � APPLICATION FOR PLUMBING PERMIT
Box 66 (1335 So Brown Rd) �� �
Crystal Bay, MN 55323
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■' General Instrnctions
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below.
Permit cards will be sent by return mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work must not begin unless the permit card is available on the job site.
5. Plumbing permits may be issued to licensed contractors only.
6. When any new construction or remodeling is involved, a separate building permit must
be obtained.
7. All work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357.
24 honr notice reqnired.
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JOB SITE ADDRESS: � `� :�J %���� „�,-� .� /c_,,%z
Occupancy Type: Residential ,/ Commercial
OWNER'S NAME: /7�Y � %'��v a �<<c�A7 .5' �' Phone No. :
Mailing Address': ;� iy -� �--.�� �.�. :.; �o,..<. City: �� ,.-�;. �
CONTRACTOR'S NAME: �<<'-/� �/ �� - ;� � Bu s. No. : ��9-�L �'e-
Mailing Address: ,�� ; - �r City: �f./,;,._ ��;..-Zip: �s"'i a f
Master Plumber's State Lice se No. : 3 5"7.S ;'I City Cert. No. :
*,t*******************************************************,t***,t****,t**,t*****
PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
------------ -+----- ----r----- ------ ------------- ---- ----�---- --------- -----
Water Closet , ,�- Sewer E�ector
------------ --- /�es�-- --- --- ---- ----------- -- --•---- ------- ----
Lavatory �1 t _-__-- Laundry Tray
------------ --- �-`'-1-`-- ------ ---------- -- --�---- ------- ----
Bathtub washer
------------ ----�------- ----- ---- ----------- -- -------- ------- ----
Shower -_-__ Water tleater `
------------- -----�--•----- --—---- - ------------- ---- --•----- --------- -----
Kitchen Sink 'I � -_-_-- Water Softner
-------------j---- I -�---- ------ ----------- -- --�---- -------- ----
Disposal I_ v -__-__ Wet Bar
-------------1 --- ---- ----- ----------- -- --•---- -------- ----
Dishwasher I- � ---_-- Sump Pump
-------------1 --- -- — -- --------- ------------ --- ------ -------- ----
Sillcocks Misc (List)
------------- ----- ---•--- --------- ------ ------------- ---- ------- ---------- ----- �
Floor Drains
- �- - -- - - ----- -----
*****,t**************************************,t****************,k************* _
l. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures x $8/fixture
x $5/fixture reset ,
2. State Surcharge $ .50
3. Postage b Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
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The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit,
agrees to do all work in strict accordance with the ordinances of the City and the
regulations of the State of D7innesota, and certifies that all statements made on this
application are complete, true and correct.
Signature of A�:pli.cant:y��l�f�" �%�"C, � �-- Date: �- � � -' ��L
V
DATE TIME
CITY OF ORONO CALLED IN �- � � � y`�
INSPECTION NO/�,CE v,/ SCHEDULED � p ��
PERMIT NO. �` �/'� / " COMPLETED � �__
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ADDRESS a`yd � �e���-�-�-� ��
OWNER ° -r�--���-� CONTR. �
TELEPHONE NO. � � � — ��� -`' "Z
� DESCRIPTION
� 01 FOOTING 11 MECHANICALRI p� 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL�-�'� 18 EXCAV/GRADINGIFILLING
� 03 INSULATION ' 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
�
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
t� 13 METER SETfTURN ON 17 SITE INSPECTION
� 07 DEMO—SIT 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLU 15 SEPTIC INSTALL. �{��� 22 FOLLOW-UP
J 10 PLUMBING FINAL ? 23 SEPTIC FINAL �
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor si :
Inspector. L
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